title: [Social integration of women operated for obstetric urogenital fistula].
abstract: OBJECTIVE
  To study the social integration of women supported in the urology department of the University Hospital of Point G for obstetric urogenital fistula.
  
  
  METHODS
  Prospective study conducted over a period of 13 months from June 2008 to June 2009 in the Department of Urology at the University Hospital of Point G. The study included all patients who have been operated on at least twice for obstetric fistula genitourinary. Records of surgical, medical records and tracking sheets for each patient were the media database.
  
  
  RESULTS
  Situation before treatment: before surgical treatment, 76.92% of patients were rejected by their spouses. The family attended the patient in 84.62% of cases. Situation after treatment: after treatment, 90.31% of women with fistula lived in the matrimonial home or family. The resumption of business activity was announced by 11.2% of patients. Among the women, 93.7% participated in housework. The number of patient intervention ranged from two to five. Healing (fistula closed and no sphincter dysfunction) was complete in 50% of cases. Among the women, 11.54% had sphincter dysfunction after closure of the fistula, which makes a total of fistula closed more than 61% after at least two attempts.
  
  
  CONCLUSIONS
  The urogenital fistulas are not a fatal disease but is a real handicap for women who suffer to conduct a socio-cultural and economic mainstream. Generally excluded from the ongoing operations of the company, these women are more integrated after successful surgical treatment of the fistula.
authors.affiliation: Service d'urologie, CHU Hassan II, Fès, Maroc. Electronic address: dralkadri@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Diarra
authors.forename: A
authors.initials: A
authors.lastname: Tembely
authors.forename: H J G
authors.initials: HJ
authors.lastname: Berthe
authors.forename: M L
authors.initials: ML
authors.lastname: Diakité
authors.forename: B
authors.initials: B
authors.lastname: Traoré
authors.forename: K
authors.initials: K
authors.lastname: Ouattara
mesh_terms: D000328:Adult; D005260:Female; D005402:Fistula / Q000523:psychology* / Q000601:surgery*; D005831:Genital Diseases, Female / Q000523:psychology* / Q000601:surgery*; D006801:Humans; D011446:Prospective Studies; D012917:Social Adjustment; D014548:Urinary Fistula / Q000523:psychology* / Q000601:surgery*
keywords: After surgical treatment; Après traitement chirurgical; Fistules uro-génitales obstétricales; Intégration sociale; Obstetric fistula genitourinary; Social integration